Hap Wojciech, Frejlich Ewelina, Rudno-Rudzińska Julia, Kotulski Krzysztof, Kurnol Krzysztof, Hap Katarzyna, Skalski Adam, Kielan Wojciech
II Katedra i Klinika Chirurgii Ogólnej i Onkologicznej, Uniwersytet Medyczny we Wrocławiu, Kierownik: prof. dr hab. Wojciech Kielan.
Katedra i Klinika Nefrologii i Medycyny Transplantacyjnej, Uniwersytet Medyczny we Wrocławiu, Kierownik: prof. dr hab. Marian Klinger.
Pol Przegl Chir. 2017 Feb 28;89(1):68-75. doi: 10.5604/01.3001.0009.6009.
Pilonidal cyst is a troublesome condition affecting usually young people. It significantly influences quality of life and causes low self-esteem. Despite its known pathophysiology and numerous therapeutic methods available, pilonidal cysts still constitute a significant problem in general surgery. A large number of surgical techniques indicates the lack of a single method that ensures therapeutic success, and frequent complications cause both patient's dissatisfaction and frustration of the operator. In many cases, therapy is based on methods developed in a given healthcare center and their efficacy is usually not scientifically verified. Search for optimal strategy is also impeded by lack of an unambiguous clinical classification. In this article, we reviewed publications on various methods of managing pilonidal cyst, and we also presented surgical treatment used in our department. However, we did not manage to point out a surgical method with efficacy high enough to become standard treatment. It indicates the need for further search for new techniques that will give chances for successful treatment of pilonidal cyst.
藏毛窦是一种通常影响年轻人的棘手病症。它会显著影响生活质量并导致自卑。尽管其病理生理学已知且有众多可用的治疗方法，但藏毛窦在普通外科中仍然是一个重大问题。大量的手术技术表明缺乏一种能确保治疗成功的单一方法，且频繁的并发症既导致患者不满，也让手术医生感到沮丧。在许多情况下，治疗是基于特定医疗中心所采用的方法，而这些方法的疗效通常未经科学验证。缺乏明确的临床分类也阻碍了对最佳治疗策略的探寻。在本文中，我们回顾了关于藏毛窦各种治疗方法的出版物，还介绍了我们科室所采用的手术治疗方法。然而，我们未能指出一种疗效足够高到能成为标准治疗方法的手术方式。这表明需要进一步寻找新的技术，以便有机会成功治疗藏毛窦。
